| NPI | 1679247324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61172989) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW18371) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2025-09-19 |